Warren Woods Early Childhood Center

R 400.8173(3) · R 400.8173(3) Equipment. Materials that have a warning label indicating they are toxic for children, or to keep out of reach of children, must not be used by children. 2 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

Disinfectant spray, bleach wipes, diaper cream and adult scissors were stored in three different unlocked cabinets and accessible to children.

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R 400.8330(21) · R 400.8330(21) 1 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP Food services and nutrition generally. When feeding, child care staff members shall hold infants, except when infants resist being held and are able to hold their bottle.

A seven-month-old infant was feeding while placed in a boppy chair and not held by a childcare staff member. His hands were placed around the bottle, but the bottle was propped up by his chest due to his positioning. If the bottle fell, he was not able roll or reach to get it back himself.

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R 400.8335(11) · R 400.8335(11) Food services and nutrition; provided by center. Prepared bottles and beverage containers of milk and formula must be refrigerated and labeled with the child's first and last name, date, and time of preparation.

All infant's bottles were not labelled with the child's first and last names

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R 400.8335(8)(b) · R 400.8335(8)(b) Food services and nutrition; provided by center. Milk must be served within 7 days of opening.

A gallon of milk opened on 1/3/25 was being served after seven days of opening.

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R 400.8134 · R 400.8134 Hand washing. (3) Staff and volunteers shall ensure that children wash their hands at all of the following times: (a) Before meals, snacks, or food preparation experiences. (b) After toileting or diapering.

On 10/18/2021, I completed an unannounced onsite at the center. I interviewed Mrs. Dena Russo, licensee designee/program director, Mrs. Stacy Santamaria, licensee designee/program director, Andrea Poppe, Ms. Rachel Media, Ms. Kayla Jackson, Ms. Holly Sewell, and Gabriella Mortier, child care staff members. Mrs. Russo stated she was not aware of any issues with handwashing. None of the child care staff have brought to her attention that any particular staff were having issues washing their hands or washing the hands of the children. With the most recent problem with hands, foot, and mouth disease in several of the rooms, it was imperative that child care staff wash their hands and the children's hands. Child care staff members were aware the center is due for Mrs. Santamaria stated although they are in the classroom observing, they cannot be in the classroom every day. She has expressed to child care staff members, if they see something in the classroom that needs to be addressed say something or bring it the front office attention. There have not been any complaints from parents about this matter. I interviewed Ms. Poppe. Ms. Poppe stated she is always washing her hands and children's hand after diapering and before children are sitting at the table for meals. She has not observed other child care staff members not washing their hands or the hands of the children. 3 I entered the infant's room and interviewed Ms. Media. Ms. Media was currently diapering Child H (14 months-old). I observed Ms. Media washing both her hands and Child H's hand once diapering was completed. She stated in the infant room child care staff members are washing their hands as required. The children's hands are washed before meals and sometimes after meals as it can get messy. She has not observed anybody in her classroom not washing the children's hand or washing their hands. I interviewed Ms. Jackson stated she works in the toddler one classroom. She been there since July of 2021. Child care staff members and children's hands are washed before meals, after diapering, and when they return from outside. She has not observed any child care staff members not washing their hands as required. She was unaware of any complaints from parents in regard to this matter. I interviewed Ms. Sewell. Ms. Sewell been employed at the center since June of 2021. She stated she has worked in various rooms but as of 10/15/2021, she is now the lead for toddler room two. She has observed child care staff members washing their hands and the children's hands in the classroom. When she was in toddler one classroom, she was responsible for doing a lot of the hand washing with the children. I interviewed Ms. Mortier. She works in the toddler one classroom and has worked for approximately a year. There has not been an issue with handwashing. Both child care staff members and children's hand are washed appropriately, especially with hand, foot and mouth disease going around. I interviewed Ms. Tyeena Rupert by telephone on 10/22/2021. Ms Rupert currently works in the toddler two room. She recently started working for the center almost a month ago. She has not observed any child care staff members not washing children's hand as required. Ms. Rupert doesn't know if hand washing was an issue before she started in the room. I interviewed Ms. Kathleen Weber by telephone on 10/22/2021. Ms. Weber is currently working in the toddler three room. Ms. Weber stated she ensures children's hands are washed when they use the restroom, using both water and soap, before snacks and meals, and when the return to the classroom from outside. She has not observed any of the child care staff members not washing their hands or the children in the classroom. I interviewed Child A's Mother, Child B's Mother and Child C and D's Mother individually by telephone on 10/22/2021. None of the children's mother stated they had any concerns about sanitization or hand washing at the center. On 11/01/2021, I interviewed

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R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness. (4) If a center becomes aware that a staff member, volunteer, or child in care has contracted a communicable disease, then the center shall notify parents and provide all of the following information: (a) The name of the communicable disease the children were exposed to. (b) The symptoms of the disease. (c) Prevention measures as recommended by the U.S. Centers for Disease Control and Prevention (CDC) at the following website: https:1/www.cdc.aov/DiseasesConditions.

Notification and appropriate information were provided to parents as required.

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